Sample UB92 Revenue Codes (tab-delimite)

Revenue Code	Name	Abbreviation	Units	CHAMPUS units	Commercial Units	Medicare units	Blue Cross Units	Medicaid Units	CHAMPUS 4 digit	Commercial 4 digit	Medicare 4 digit	Blue Cross 4 digit	Medicaid 4 digit
0001	Total Charge												
001X	Reserved for Internal Payer Use												
0020	Reserved												
0021	Reserved												
0022	Skilled Nursing Facility Prospective Payment System	SNF PPS (RUG)											
0023	Home Health Prospective Payment System	HH PPS (HRG)											
0024	Inpatient Rehab Facility Prospective Payment System	REHAB PPS (CMG)											
0025	Reserved												
0026	Reserved												
0027	Reserved												
0028	Reserved												
0029	Reserved												
002X	Health Insurance - Prospective Payment System (HIPPS)												
003X-009X	Reserved for National Assignment												
0100	All-Inclusive Room and Board Plus Ancillary	ALL INCL R&B/ANC	#Days										
0101	All-Inclusive Room and Board	ALL INCL R&B	#Days							
010X	All-inclusive 		#Days	IP	IP	IP			x	x
0110	Room & Board - Private General Classification	ROOM-BOARD/PVT	#Days							
0111	Room & Board - Private Medical/Surgical/Gyn	MED-SUR-GY/PVT	#Days							
0112	Room & Board - Private OB	OB/PVT	#Days							
0113	Room & Board - Private Pediatric	PEDS/PVT	#Days							
0114	Room & Board - Private Psychiatric	PSYCH/PVT	#Days							x
0115	Room & Board - Private Hospice	HOSPICE/PVT	#Days							x
0116	Room & Board - Private Detoxification	DETOX/PVT	#Days							x
0117	Room & Board - Private Oncology	ONCOLOGY/PVT	#Days							
0118	Room & Board - Private Rehabilitation	REHAB/PVT	#Days							
0119	...